Organization Active NPI

Murfreesboro Dental Excellence North PC

  • Dentist
  • Murfreesboro, TN
National Provider Identifier
1497109136
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5414 Issued in TN
Legal business name
MURFREESBORO DENTAL EXCELLENCE NORTH PC
Practice address
3202 Memorial Blvd Ste a
Murfreesboro, TN 37129-5254
Phone
(615) 956-7041
NPI assigned
Apr 19, 2016
Last updated
Apr 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard Nate Schott
Title
General Dentist
Phone
(615) 624-6299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 5414 TN Primary

Addresses

Primary practice location

3202 Memorial Blvd Ste a
Murfreesboro, TN 37129-5254

Mailing address

3202 Memorial Blvd Ste a
Murfreesboro, TN 37129-5254
Phone (615) 956-7041

National Provider Directory

National Provider Directory

Locations

3202 Memorial Blvd
#A
Murfreesboro, TN 37129
Phone (615) 956-7041

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1497109136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 MEMORIAL BLVD STE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295254",
            "telephone_number": "615-956-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 MEMORIAL BLVD STE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295254",
            "telephone_number": "615-956-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURFREESBORO DENTAL EXCELLENCE NORTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "SCHOTT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "NATE",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "615-624-6299"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "5414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.